| NPI | 1740291996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE NICOLE THEROUX Executive Director 413-737-1426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 103T00000X Psychologist | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 106H00000X Marriage & Family Therapist | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2007-10-22 |